A Case of Disseminated Melioidosis in a Migrant Worker from Thailand

Lee, Hyemin; Choi, Seong-Ho; Chung, Jin-Won; Ahn, Jeongmin; Cho, A-Ra; Lee, Mi Kyung; Chang, Kyu Jin

doi:10.3343/kjlm.2009.29.2.140

Cited by 6 publications

(4 citation statements)

References 6 publications

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“…With increasing international travel and migration, cases of melioidosis imported from endemic regions are being reported regularly, and it is important that physicians should be more aware of melioidosis. In South Korea, there were 11 known cases of melioidosis from 2003 to 2014, and the first six of these cases had been reported previously 4 , 5 , 6 , 7 , 8 , 9 . Here, we summarize the epidemiological and clinical manifestations of the imported melioidosis in South Korea.…”

Section: Introductionmentioning

confidence: 99%

Imported Melioidosis in South Korea: A Case Series with a Literature Review

Kim

Kwon

Kim

et al. 2015

Osong Public Health and Research Perspectives

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ObjectivesMelioidosis is a potentially fatal infectious disease caused by the environmental anaerobic Gram-negative bacillus Burkholderia pseudomallei. Melioidosis is endemic to areas of northern Australia and Southeast Asia. With increasing international travel and migration, imported cases of melioidosis are being reported regularly. Here, we summarize the 11 cases of melioidosis reported in South Korea from 2003 to 2014.MethodsTracing epidemiological investigations were performed on every patient reported to the National Surveillance System since 2011. A systematic literature search was performed to identify melioidosis cases that occurred prior to 2011.ResultsThe overall fatality rate was 36.4%. All the patients had visited Southeast Asia where melioidosis is endemic. The stay in the endemic region ranged from 4 days to 20 years. Of the seven patients who developed initial symptoms after returning to South Korea, the time interval between returning to South Korea and symptom onset ranged from 1 day to 3 years. The remaining four patients developed symptoms during their stay in the endemic region and were diagnosed with melioidosis in South Korea. Seven (63.6%) patients possessed at least one risk factor, all of whom were diabetic. Pneumonia was the most frequent clinical manifestation, but the patients showed a wide spectrum of clinical features, including internal organ abscesses, a mycotic aneurysm of the aorta, and coinfection with tuberculosis.ConclusionAn early diagnosis and initiation of the appropriate antibiotics can reduce the mortality of melioidosis. Consequently, increased awareness of the risk factors and clinical features of melioidosis is required.

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Section: Introductionmentioning

confidence: 99%

Imported Melioidosis in South Korea: A Case Series with a Literature Review

Kim

Kwon

Kim

et al. 2015

Osong Public Health and Research Perspectives

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“…The mortality of patients with acute septicemia was reported as 40-65% (Lee et al, 2009;Deris et al, 2010;Hassan et al, 2010;Vidyalakshmi et al, 2012). In recent years, the mortality rate has reduced owing to improvements in knowledge about septicemia and the application of antibiotics.…”

Section: Discussionmentioning

confidence: 99%

“…Endemic zoonosis induced by Burkholderia pseudomallei (BP), a Gram-negative aerobacillus, is defined as meliodosis (MD), which mainly occurs in tropical and subtropical areas with high morbidity in Thailand, Malaysia, India, and Australia (Lee et al, 2009;Saravu et al, 2010). MD has been found in Hainan, Guangdong, Guangxi, and Taiwan, with Hainan identified as the main epidemic focus of the disease, as well as the area with the highest separation rate of BP.…”

Section: Introductionmentioning

confidence: 99%

Clinical features of diabetes mellitus cases complicated by Burkholderia pseudomallei septicemia

Quan

Gao

et al. 2014

Genet. Mol. Res.

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“…With increasing international travel and migration, cases of melioidosis imported from endemic regions are being reported regularly, and it is important that physicians be more aware of melioidosis. In South Korea, there were 11 known cases of melioidosis from 2003 to 2014, and the first six of these cases have been reported previously 4 , 5 , 6 , 7 , 8 , 9 . Here, we summarize the epidemiological and clinical manifestations of imported melioidosis in South Korea.…”

mentioning

confidence: 99%